If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |

Native & Strong Lifeline
Available 24/7
Dial 988 + 4
The Native & Strong Lifeline is a crisis call center operated entirely by Native staff and is available 24/7 in Washington
State. To connect with the Native & Strong Lifeline from a Washington State area code, dial 988 and press “4”.
The Native crisis counselor who answers will help with mental health crises in an empathetic and culturally connected way.
The Native & Strong Lifeline currently employs 16 Indigenous counselors from all over the United States. In addition to the training all 988 crisis counselors receive, Native & Strong counselors are trained in cultural competency, traditional forms of healing, and Native slang and language. Counselors use cultural activities, traditional medicines, and connections with elders and Native healers as a part of self-care planning with callers, in addition to clinical and community resources.
Although Native & Strong is only available in Washington State, this crisis call center can serve as a model for Tribes
that want to open their own crisis call centers nationwide.
To learn more about how Native & Strong was created, visit
https://www.youtube.com/watch?v=hleYKuADK70
If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life’s challenges can sometimes be difficult. Whether you’re facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
What to Expect
Calling the 988 Lifeline
Here is what you can expect when making a call to the 988 Lifeline.
Step 1 of 5
First, you’ll hear a message that gives you service selection options.
Listen to the pre-recorded message (mp3).
Step 2 of 5
We’ll play some hold music while you are connected to a counselor with our Spanish-language, LGBTQI+ services, or your local 988 Lifeline contact center. For veterans, the phone will ring until a counselor can answer your call.
Step 3 of 5
A counselor will say hello and introduce themselves.
Step 4 of 5
Your skilled counselor will ask you if you are safe.
Step 5 of 5
After they ask about your safety, your counselor will listen to you, understand how your problem is affecting you, provide support, and share any resources that may be helpful.
Chatting with the 988 Lifeline
Here is what you can expect when starting a chat with the 988 Lifeline.
Step 1 of 6
After clicking “Chat With Us,” a new window with a brief survey will open. This survey helps our counselors understand how to best support you and takes less than 5 minutes to complete.
Step 2 of 6
When you click “Start a Chat”, you are accepting our Terms of Service.
Step 3 of 6
You will then see a screen that indicates we are connecting you to a counselor.
Step 4 of 6
A counselor will say hello and introduce themselves.
Step 5 of 6
Your skilled counselor will ask if you are safe.
Step 6 of 6
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
Texting with the 988 Lifeline
Here is what you can expect when texting the 988 Lifeline.
Step 1 of 7
When you send a text to 988, you will be given options to connect with a counselor from the Veterans, Spanish-language, LGBTQI+ service, or the main 988 Lifeline.
Step 2 of 7
When you text “next” you will be accepting our Terms of Service.
Step 3 of 7
You will then need to complete a brief survey to help your counselor understand how they can best support you.
Step 4 of 7
You’ll receive a “wait” message with optional questions while we connect you to a counselor.
Step 5 of 7
Your counselor will say hello and introduce themselves.
Step 6 of 7
Your skilled counselor will ask if you are safe.
Step 7 of 7
After they ask about your safety, they will be calm and comforting, listen to you, and provide support. They may also share helpful resources.
2SLGBT+ CRISIS CALL & TEXT SERVICES GUIDE
YOUR GUIDE TO CRISIS CALL & TEXT SERVICES
988 Suicide and Crisis Lifeline | Crisis Text Line | Youthline |
Text or cal l988 | Text “NATIVE” to 741741 | Call 877-968-8491 or text” teen2teen” to 839863 |
Available 24/7 | Available 24/7 | Available 24/7, youth peers answering from 4pm-10pm PST. |
Connects to Crisis Counselor | Connects to Crisis Counselor | Connects to youth peer counselors native youth peer counselors available |
For Any Person | For Any Person | For Youth |
For any mental health Crisis | For any mental health Crisis | For any mental health crisis or general emotional support |
Formerly known as the Suicide Prevention Lifeline, operated by SAMHSA | Operated by Crisis Text Line | Operated by Lines for Life |